Annals for Hospitalists Inpatient Notes - How to Treat Poor Sleep in the Hospital
Authors: Katrina L. Piggott, Christine Soong
Journal: Annals of Internal Medicine (2023)

Web ExclusivesFebruary 2023Annals for Hospitalists Inpatient Notes - How to Treat Poor Sleep in the HospitalKatrina L. Piggott, MD, MSc and Christine Soong, MD, MScKatrina L. Piggott, MD, MScDivision of Geriatric Medicine, Sunnybrook Health Sciences, and Institute of Health Policy, Management and Evaluation, The University of Toronto, Toronto, Ontario, Canada (K.L.P.)Search for more papers by this author and Christine Soong, MD, MScDivision of General Internal Medicine, Sinai Health, and Institute of Health Policy, Management and Evaluation, The University of Toronto, Toronto, Ontario, Canada (C.S.).Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M23-0001 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Sleep is essential to our physical, cognitive, and psychological well-being. A brief disruption in sleep quality may be tolerated, but prolonged sleep deprivation can be detrimental to a person's health and recovery. Among hospitalized patients, poor sleep is common. Hospitalists play a key role in caring for hospitalized patients and should be aware of nonpharmacologic and pharmacologic strategies to improve sleep quality among inpatients, as well as their limitations.How Can I Improve My Patient's Sleep in the Hospital?The approach to improving sleep in the hospital begins with a careful review of the causes of poor sleep, categorized by ...References1. Inouye SK, Bogardus ST, Charpentier PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med. 1999;340:669-76. [PMID: 10053175] doi:10.1056/NEJM199903043400901 CrossrefMedlineGoogle Scholar2. Zammit G, Erman M, Wang-Weigand S, et al. Evaluation of the efficacy and safety of ramelteon in subjects with chronic insomnia. J Clin Sleep Med. 2007;3:495-504. [PMID: 17803013] CrossrefMedlineGoogle Scholar3. Glass J, Lanctôt KL, Herrmann N, et al. Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits. BMJ. 2005;331:1169. [PMID: 16284208] doi:10.1136/bmj.38623.768588.47 CrossrefMedlineGoogle Scholar4. Mittal V, Kurup L, Williamson D, et al. Risk of cerebrovascular adverse events and death in elderly patients with dementia when treated with antipsychotic medications: a literature review of evidence. Am J Alzheimers Dis Other Demen. 2011;26:10-28. [PMID: 21282274] doi:10.1177/1533317510390351 CrossrefMedlineGoogle Scholar5. Bell CM, Fischer HD, Gill SS, et al. Initiation of benzodiazepines in the elderly after hospitalization. J Gen Intern Med. 2007;22:1024-9. [PMID: 17453266] doi:10.1007/s11606-007-0194-4 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Katrina L. Piggott, MD, MSc; Christine Soong, MD, MScAffiliations: Division of Geriatric Medicine, Sunnybrook Health Sciences, and Institute of Health Policy, Management and Evaluation, The University of Toronto, Toronto, Ontario, Canada (K.L.P.)Division of General Internal Medicine, Sinai Health, and Institute of Health Policy, Management and Evaluation, The University of Toronto, Toronto, Ontario, Canada (C.S.).Acknowledgment: The authors thank Chris Fan-Lun, PharmD, for his contribution to this manuscript's content.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M23-0001.Corresponding Author: Christine Soong, MD, MSc, Mount Sinai Hospital, 600 University Avenue, Room 19-105, Toronto, ON M5G 1X5, Canada; e-mail, Christine.[email protected]ca. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - February 2023 David H. Wesorick Metrics February 2023Volume 176, Issue 2KeywordsHospital medicineHospitalizationsSleep ePublished: 21 February 2023 Issue Published: February 2023 Copyright & PermissionsCopyright © 2023 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...